Graduate medical education

We're pleased to be partnering with you and other health systems to try to effectuate that.

Talk a little bit about one thing that you've helped educate me on, Patrick, is this area of graduate medical education and how important it is to get funding from a state perspective to make sure that we've got enough graduate medical education seats to train our physicians in the future.

So maybe talk a little bit about that landscape and what challenges we face there and the opportunity we have.

Yeah, it's an interesting challenge.

My understanding is Franciscan is starting a medical school and we'll have, their goal is to have 200.

So by 2030, 2031, 2032, we'll have almost, not almost, we will have 800 physicians that are graduating from Indiana-based medical schools a year 800 but we only have 530 550 residency slots and so that means by definition 250 physicians or more have to leave indiana and we all know i'm a perfect example where you train it's most likely where you're going to live and settle and and you know work your career so I think we can do better.

There's some other dynamics about graduate medical education I think people don't necessarily understand.

A lot of those slots, there's federal funding that starts with.

Earlier I talked about running for national leadership position, um, and then not getting it, and then running for the conference chair, um, the next month, and that one I got.

A couple years later, I ran for the RSO board again, and I was elected to the Graduate Medical Education chair.

Um, and this time, instead of being disappointed that I didn't get an opportunity, I had the opposite problem, because around the same time, I was also becoming the founding chair-elect of AMRA's new Women's Health Committee, and I couldn't realistically do both.

And saying no to the RSO position was actually very difficult for me.

So the title Executive Director of Climate Health is for my role at the medical school, at Cooper Medical School of Rowan University, where I'm very fortunate to be integrating climate health in the four years of undergraduate medical education.

but also into GME, into graduate medical education.

That's our residency training.

And then into faculty development.

So the answer is actually quite complicated.

But the short version is most of it comes from the federal graduate medical education funding, primarily through Medicare and Medicaid or CMS funding.

Right.

And this is something Dr. Carmody talked about in the prior episode, so we're not gonna go fully rehash that history here.

You guys wanna explain?

Sure.

DGME stands for Direct Graduate Medical Education.

It's the funding stream intended to support the direct cost of training residents, especially their salaries and benefits, as well as some faculty teaching costs.